Organization
PREVENTIVE HEALTH ESSENTIALS INC
Active
Parent organization
PREVENTIVE HEALTH ESSENTIALS INC
Other names
Easy Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREVENTIVE HEALTH ESSENTIALS INC
Authorized official
DR. MARTHA N MOZIA DNP,GNP/FNP, PMH-BC (CEO)
31053955722
Entity
Organization
Contact information
Practice address
43875 WASHINGTON ST, SUITE #C, PALM DESERT, CA 92211-8249
(951) 539-8984
Mailing address
1611 CRENSHAW BLVD, SUITE 224, TORRANCE, CA 90501-3123
(310) 539-5722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
514131
CA
163WC0400X
Case Management Registered Nurse
514131
CA
163WG0000X
General Practice Registered Nurse
11282
CA
163WG0600X
Gerontology Registered Nurse
514131
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
514131
CA
163WR0006X
Registered Nurse First Assistant
514131
CA
171M00000X
Case Manager/Care Coordinator
95090658
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
G1112004
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11282
CA
364SC2300X
Chronic Care Clinical Nurse Specialist
11282
CA
Other
Enumeration date
12/26/2006
Last updated
12/19/2016
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